Active NPI
Kindred Nursing Centers East, L.L.C.
- Skilled Nursing Facility
- Newark, OH
National Provider Identifier
1659394054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5482
- Legal business name
- KINDRED NURSING CENTERS EAST, L.L.C.
- Practice address
- 75 McMillen Dr
Newark, OH 43055-1808 - Phone
- (740) 344-0357
- Fax
- (740) 344-8621
- NPI assigned
- Jul 26, 2006
- Last updated
- Oct 19, 2017
- Organization subpart
- Yes
- Parent organization
- KINDRED HEALTHCARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn A. Weaver
- Title
- Assistant Secretary
- Phone
- (502) 596-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5482 | OH | Primary |
Addresses
Primary practice location
75 McMillen Dr
Newark, OH 43055-1808
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (592) 596-7301
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000157668 | Other | OH | ANTHEM |
| 522085570001 | Other | OH | AETNA |
| 01-03319 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Presence Covenant Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508371200000",
"number": "1659394054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "592-596-7301",
"fax_number": "502-596-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MCMILLEN DR",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551808",
"telephone_number": "740-344-0357",
"fax_number": "740-344-8621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED NURSING CENTERS EAST, L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC.",
"enumeration_date": "2006-07-26",
"last_updated": "2017-10-19",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "502-596-7300",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "5482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000157668",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "522085570001",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01-03319",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.